Kathleen Myers, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111993 Issued in MA

Practice address

3300 Main St
Stratford, CT 06614-4819

Phone

(203) 378-4514

Fax

(230) 378-0443

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Resource Associates LLC

  • Adult Mental Health Clinic/Center
  • Stratford, CT
  • NPI 1598844714

  MA

  Medicare reassignment NPD Authorized official
• Family Resources Incorporated

  • Clinical Social Worker
  • Acton, MA
  • NPI 1366327645
  Medicare reassignment NPD Authorized official
• Brandon Residential Treatment Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Natick, MA
  • NPI 1063570547
  NPD (past)
• Wilmington Family Counseling Service Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, MA
  • NPI 1922043447
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740226786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144819",
            "telephone_number": "203-378-4514",
            "fax_number": "203-378-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144819",
            "telephone_number": "203-378-4514",
            "fax_number": "230-378-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Moses, MD
• Motion Specialists of CT LLC
• Rosa Dina Moya, RN
• Robin Chase Murtha, MSN, APRN
• Anthony Musto, MD
• Heather Nadeau, MOT, OTR/L
• Sanath Nallainathan, MD
• Alireza Namjoo, D.D.S.
• Kiranpreet Narain
• National Vision Inc (America's Best Contacts & Eyeglasses)

• Clinical Social Worker in Stratford, CT
• Providers in Stratford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.